• Referring facility providers lack the expertise necessary to accurately describe rare conditions to the specialists at tertiary centers
  • Tertiary hospitals lack the necessary data to quickly make a global assessment of patient status
  • Description of the patient’s condition is often wrong
  • Inappropriate transfers are expensive to the network
  • Shrinking marketing dollars
  • Need to increase patient referral base
  • Lack of rigorous data collection and analysis of patient transfer characteristics of referring hospitals, physicians and accepting physicians